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Background:Utilizing medical claims derived information, we evaluated temporal trends in post-acute care utilization pathways among patients with acute ischemic stroke (AIS) or intracerebral hemorrhage (ICH).Methods:Data Analytical sample included all Medicare enrollees with a primary discharge diagnosis (AIS or ICH) from 2016 to 2020.
The study included 167 Medicare patients with suspected acute stroke transported by MSU and 2518 propensity scorematched controls. had an intracerebral hemorrhage, and 31.1% days,P=0.13) and were similarly likely to be discharged to a skilled nursing facility (15.6% Of 167 patients (mean age, 79.9 versus 9.4%; difference, 37.5
Separate multivariable logistic regression models were fit to determine factors associated with discharge to IR vs. home (model 1) and IR vs. unfavorable discharge (UD; long-term acute care, skilled nursing facility, hospice, expired, other; model 2). Medicare, 1.17 [1.08-1.26]; female and15.7% Asian, and 3.5% 1.26]; 1.30 [1.18-1.43]),
Medicare) insured (1.73, 1.66-1.79), Patients with ICH (vs. AIS) were more likely to be discharged to IRF (vs. home) (aOR, CI: 2.17, 2.10-2.26). Patients discharged to IRF (vs. SNF) were more likely to be privately (vs. 1.79), and reside in the highest income quartile zip codes, vs. lowest quartile (aOR, CI: 1.31, 1.26-1.35).
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